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mHealth: Boon or Bane?

BY Linda S. Crawford
August 30, 2011

In last month's issue, we elucidated the positive aspects of mHealth (use of mobile devices in a health-care setting) technology. After reviewing the examples of all the benefits mHealth technologies offer, it can be hard to imagine the downside. Yet, without the proper safeguards like the development of institutional policies, staff education and training in risks and prevention, the rapid and widespread adoption of these tools with unbridled enthusiasm carries huge risks for the patient and the provider. The two areas of greatest risk and vulnerability are the security of patient information and new ways in which mHealth may expose physicians to malpractice claims or other tort lawsuits.

Security and Privacy Breaches, and HIPAA

The Health Insurance Portability and Accountability Act (HIPAA), Public Law 104-191, 104th Congress, Aug. 21, 1996, www.hhs.gov/ocr/privacy/hipaa/administrative/statute/index.htm, 45 CFR 160, 162 and 164, passed by Congress in 1996, provides both rights and protections for group health plan members, including a mandate that covered entities keep patient records secure and accessible only to authorized parties. The Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 extends these protections to the electronic transmission of electronic health information (the security regulations are found at 45 C.F.R. parts 160 and 164, subpart C (Security Rule); the privacy regulations are found at 45 C.F.R parts 160 and 164, subpart E (Privacy Rule)).

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